Factors Affecting the Periapical Status of Root-Filled Canals: A Cross-Sectional Study at the Undergraduate Level

Objective. The aim was to evaluate the influence of multiple factors on the periapical status of endodontically treated (ET) teeth. Methods. The patients were clinically and radiographically reevaluated after root canal therapy. The quality of the root-filled canals, coronal restorations, intraradic...

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Main Authors: George Moreira Costa, Suelleng Maria Santos Soares, Paula Cristina Pelli Paiva, Flaviana Dornela Verli, Patrícia Furtado Gonçalves, Sangela Maria da Silva Pereira, Rudys Rodolfo De Jesus Tavarez, Janir Alves Soares, Etevaldo Matos Maia Filho
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:International Journal of Dentistry
Online Access:http://dx.doi.org/10.1155/2017/7413204
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author George Moreira Costa
Suelleng Maria Santos Soares
Paula Cristina Pelli Paiva
Flaviana Dornela Verli
Patrícia Furtado Gonçalves
Sangela Maria da Silva Pereira
Rudys Rodolfo De Jesus Tavarez
Janir Alves Soares
Etevaldo Matos Maia Filho
author_facet George Moreira Costa
Suelleng Maria Santos Soares
Paula Cristina Pelli Paiva
Flaviana Dornela Verli
Patrícia Furtado Gonçalves
Sangela Maria da Silva Pereira
Rudys Rodolfo De Jesus Tavarez
Janir Alves Soares
Etevaldo Matos Maia Filho
author_sort George Moreira Costa
collection DOAJ
description Objective. The aim was to evaluate the influence of multiple factors on the periapical status of endodontically treated (ET) teeth. Methods. The patients were clinically and radiographically reevaluated after root canal therapy. The quality of the root-filled canals, coronal restorations, intraradicular posts, dental caries, and periodontal parameters were associated with the teeth’s periapical status. Results. The 122 patients provided 154 ET teeth; 97.4% teeth were asymptomatic, and 75.5% had a normal periapical status. The percentage of perfect, satisfactory, and deficient root-filled canals was of the order of 41.6%, 46.1%, and 12.3%, respectively. The percentage of adequate and inadequate coronal restorations was 31.2% and 68.8%, respectively. A total of 14.9% teeth had intraradicular posts, and 29.2% had cavitated carious lesions in the dentin. Gingival bleeding was observed in 31.8% of teeth, and dental biofilm was visible in 58.4%. A total of 11.7% showed pathologic tooth mobility, and 22.1% teeth were diagnosed with periodontal disease. Conclusions. Carious lesions, gingival bleeding, and tooth mobility were significantly associated with the occurrence of periapical lesions in root-filled canals.
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spelling doaj-art-e39cf55fd19a470bafa1a9d9c95658d72025-08-20T03:26:31ZengWileyInternational Journal of Dentistry1687-87281687-87362017-01-01201710.1155/2017/74132047413204Factors Affecting the Periapical Status of Root-Filled Canals: A Cross-Sectional Study at the Undergraduate LevelGeorge Moreira Costa0Suelleng Maria Santos Soares1Paula Cristina Pelli Paiva2Flaviana Dornela Verli3Patrícia Furtado Gonçalves4Sangela Maria da Silva Pereira5Rudys Rodolfo De Jesus Tavarez6Janir Alves Soares7Etevaldo Matos Maia Filho8Department of Dentistry, Federal University of the Vales of Jequitinhonha and Mucuri, Diamantina, MG, BrazilDepartment of Dentistry, Federal University of the Vales of Jequitinhonha and Mucuri, Diamantina, MG, BrazilDepartment of Dentistry, Federal University of the Vales of Jequitinhonha and Mucuri, Diamantina, MG, BrazilDepartment of Basic Science, Federal University of the Vales of Jequitinhonha and Mucuri, Diamantina, MG, BrazilDepartment of Dentistry, Federal University of the Vales of Jequitinhonha and Mucuri, Diamantina, MG, BrazilPostgraduate Dentistry, Ceuma University, São Luís, MA, BrazilPostgraduate Dentistry, Ceuma University, São Luís, MA, BrazilDepartment of Dentistry, Federal University of the Vales of Jequitinhonha and Mucuri, Diamantina, MG, BrazilPostgraduate Dentistry, Ceuma University, São Luís, MA, BrazilObjective. The aim was to evaluate the influence of multiple factors on the periapical status of endodontically treated (ET) teeth. Methods. The patients were clinically and radiographically reevaluated after root canal therapy. The quality of the root-filled canals, coronal restorations, intraradicular posts, dental caries, and periodontal parameters were associated with the teeth’s periapical status. Results. The 122 patients provided 154 ET teeth; 97.4% teeth were asymptomatic, and 75.5% had a normal periapical status. The percentage of perfect, satisfactory, and deficient root-filled canals was of the order of 41.6%, 46.1%, and 12.3%, respectively. The percentage of adequate and inadequate coronal restorations was 31.2% and 68.8%, respectively. A total of 14.9% teeth had intraradicular posts, and 29.2% had cavitated carious lesions in the dentin. Gingival bleeding was observed in 31.8% of teeth, and dental biofilm was visible in 58.4%. A total of 11.7% showed pathologic tooth mobility, and 22.1% teeth were diagnosed with periodontal disease. Conclusions. Carious lesions, gingival bleeding, and tooth mobility were significantly associated with the occurrence of periapical lesions in root-filled canals.http://dx.doi.org/10.1155/2017/7413204
spellingShingle George Moreira Costa
Suelleng Maria Santos Soares
Paula Cristina Pelli Paiva
Flaviana Dornela Verli
Patrícia Furtado Gonçalves
Sangela Maria da Silva Pereira
Rudys Rodolfo De Jesus Tavarez
Janir Alves Soares
Etevaldo Matos Maia Filho
Factors Affecting the Periapical Status of Root-Filled Canals: A Cross-Sectional Study at the Undergraduate Level
International Journal of Dentistry
title Factors Affecting the Periapical Status of Root-Filled Canals: A Cross-Sectional Study at the Undergraduate Level
title_full Factors Affecting the Periapical Status of Root-Filled Canals: A Cross-Sectional Study at the Undergraduate Level
title_fullStr Factors Affecting the Periapical Status of Root-Filled Canals: A Cross-Sectional Study at the Undergraduate Level
title_full_unstemmed Factors Affecting the Periapical Status of Root-Filled Canals: A Cross-Sectional Study at the Undergraduate Level
title_short Factors Affecting the Periapical Status of Root-Filled Canals: A Cross-Sectional Study at the Undergraduate Level
title_sort factors affecting the periapical status of root filled canals a cross sectional study at the undergraduate level
url http://dx.doi.org/10.1155/2017/7413204
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